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An older male patient reports urinary frequency, back pain, and nocturia. A dipstick urinalysis
reveals hematuria. What will the provider do next to evaluate this condition? - correct answer
✔✔PSA and perform a digital rectal exam
An older male patient has a screening PSA which is 12 ng/ml. What does this value indicate. -
correct answer ✔✔BPH
A male patient reports nocturia and daytime urinary frequency and urgency without changes in
the force of the urine stream. What is the likely cause of this? - correct answer ✔✔UTI
A 70 year old male reports urinary hesitancy, post void dribbling, and a diminished urine stream.
A digital rectal exam reveals an enlarged prostate gland that feels rubbery and smooth. Which
tests will the primary care provider order based on these findings? - correct answer
✔✔Urinalysis and serum creatinine
The provider orders the oral phosphodiesterase type 5 inhibitor Sildenafil to treat erectile
dysfunction in a 65-year-old male patient. What will be included when teaching this patient
about taking this medication? Select all that apply. - correct answer ✔✔Take on an empty
stomach
The medication effects may last for 24-36 hours
Medication may be taken once daily
A young adult male reports a dull pain in the scrotum and the provider notes a bluish color
showing through the skin on the affected side. Palpation reveals a "bag of worms" on the
proximal spermatic cord. What is an important next step in managing this patient? - correct
answer ✔✔Referral to an emergency department for surgical consultation.
, Which is true about hypoactive sexual desire in older men? - correct answer ✔✔Hypoactive
sexual desire in older men is related to sexual aversion.
An adolescent male reports severe pain in one testicle. The examiner notes edema and
erythema of the scrotum on that side with a swollen, tender spermatic cord and absence of the
cremasteric reflex. What is the most important intervention? - correct answer ✔✔Doppler
ultrasound to assess testicular blood flow.
A high school athlete is brought to the emergency department after collapsing during outdoor
practice on a hot day. The patient is weak, irritable, and confused. Serum NA is 152 mEq/ml and
has dry mucous membranes and tachycardia. What is the initial approach for rehydration in this
patient? - correct answer ✔✔Intravenous fluid resuscitation with an isotonic solution.
An elderly patient who is taking thiazide diuretic has been ill with nausea and vomiting and is
brought into the emergency department for evaluation. An assessment reveals oliguria,
hypertension, and tachycardia and serum sodium is 118 mEq/ml. What is the treatment? -
correct answer ✔✔Emergency volume repletion with 3% NaCl.
Which thyroid stimulating hormone level indicates hyperthyroidism? - correct answer ✔✔0.2
Ulu/L
A patient has thyroid nodules and the provider suspects thyroid cancer. To evaluate thyroid
nodules for potential malignancy, which test is performed? - correct answer ✔✔Thyroid
ultrasound.
What are some common goals of neuropsychiatric evaluation? - correct answer ✔✔To evaluate
cognition when neuro-diagnostic tests are normal.
Monitor changes in symptoms over time.